The requirement for patientcentred clinical study throughout idiopathic lung fibrosis

Levels of excreted urinary biomarkers correlated with severity of AKI, exhibited a dose-dependent response to sucrose treatment, and demonstrated evidence of recovery from kidney injury with transient and reversible changes. The exceptions were KIM-1 and NGAL, which showed later responses following CM and iron-induced renal injury. All biomarkers outperformed plasma creatinine (PCr), BUN, and histopathology, with regard to practicability and/or detection of proximal tubular injury.
The use of a panel of urinary kidney injury biomarkers emerged as an early, sensitive, and predictive tool to detect AKI showing enhanced sensitivity compared to current state-of-the-art markers.
The use of a panel of urinary kidney injury biomarkers emerged as an early, sensitive, and predictive tool to detect AKI showing enhanced sensitivity compared to current state-of-the-art markers.Feed spacer is universally used in spiral-wound nanofiltration (NF) and reverse osmosis (RO) membrane modules. It can separate membrane sheets, create flow channels, promote turbulence and enhance mass transfer. However, it also induces increased pressure drop across the flow channel, and generates dead zones for biofilm growth at specific locations. Optimization of feed spacer geometries is highly desirable for energy saving and biofouling control. In this study, four kinds of commercial feed spacers featured with non-uniform filaments were compared in terms of hydraulic and anti-fouling performances. Computational fluid dynamics (CFD) simulations were launched to give insights into the impacts of feed spacer characteristics on the flow field. Results show that the hydraulic performance was substantially affected by the number of filament layers (single or dual layer), the non-uniformity of filament diameter and the width of thinning zones. The design of single layer feed spacer of non-uniform filaments was not recommended due to high flow resistance and poor anti-fouling performance. The feed spacer structure of alternating filament diameter contributed to reducing dead zones and alleviating membrane fouling. The thinning zones located adjacent to the filament junctions achieved better anti-fouling performance, as it disturbed the dead zones and partially washed away the deposited foulants. This study demonstrates for the first time that the characteristics of non-uniform filament feed spacer had a crucial impact on the hydraulic and anti-fouling performances, and suggests that more emphasis should be laid on number of filament layers, variation of filament diameter and width and positioning of thinning zones for the optimization of feed spacer geometries in the future.During hydraulic fracturing (or fracking) large volumes of wastewater (flow-back and produced water) are generated, which are naturally rich in heavy metals and radionuclides, such as radium. Spills may occur during operations and contaminate the groundwater. Therefore, there is an urgent need to identify a practice that can mitigate the negative impact of accidental leaks on water resources. Here, we present an experimental and modeling work on the transport of alkaline earth elements in produced water, which are congeners of radium, namely, barium (Ba2+), strontium (Sr2+), calcium (Ca2+), and magnesium (Mg2+) in addition to sodium (Na+). Column-flood tests were conducted using produced water from a shale-gas site and reactive porous media made of ubiquitous minerals such as sand, hydrous ferric oxide, activated alumina, and manganese oxide. In all cases, no retardation of the ions was observed at the salinity conditions of the produced water, but strong retardation in the pH front was measured, indicating that adsorption indeed occurred. When using manganese oxide and upon dilution of produced water, the concentration fronts of all major divalent cations were retarded. However, a fast wave of solute, traveling at the average flow velocity, emerged. This phenomenon confirmed that significant adsorption occurred under those conditions. But, pH-dependent adsorption and hydrodynamic dispersion favored fast solute transport. Overall, these results suggest that manganese oxide could be used as a reactive material in the lining of temporary storage tanks and in the well cases in order to retard the migration of the major toxic elements in produced water. However, mixing must be controlled to avoid the emergence of an instability at the concentration fronts favoring the formation of fast waves.The rejection of disinfection byproducts (DBPs) is an important consideration for the application of forward osmosis (FO) in wastewater recycling. However, the transport of organic compounds in FO is not well predicted by existing models, partially because these models have not incorporated the effect of reverse salt flux, a phenomenon previously shown to influence the transport of pharmaceutical compounds. In this study, we investigated the effects of reverse salt flux on DBP transport in FO and the corresponding mechanisms. We used a commercial Aquaporin membrane and tested sixteen DBPs relevant to wastewater recycling. Using draw solutions constituted by NaCl, MgSO4, or glucose in a bench-scale FO system, we first confirmed that higher reverse salt flux resulted in lower DBP permeance. By integrating results from the bench-scale FO system and those from diffusion cell tests, we showed that two mechanisms contributed to the hindered DBP transport the steric hindrance in the active layer caused by the presence of the draw solute and the retarded diffusion of DBPs in the support layer via a "salting-out" effect. GW806742X Mixed Lineage Kinase inhibitor Lastly, we developed a modified solution-diffusion model incorporating these two mechanisms by accounting for the free volume occupied by draw solute molecules in the active layer and by introducing the Setschenow constant, respectively. The modified model significantly improved the prediction of permeance for halogenated DBPs, and revealed the relative importance of steric hindrance (dominant for large DBPs) and retarded diffusion (dominant for hydrophobic DBPs). The modified model did not accurately predict the permeance of nitrosamines, attributable to their extremely high hydrophilicity or large size.